Healthcare Provider Details

I. General information

NPI: 1205336781
Provider Name (Legal Business Name): WRIGHT PLASTIC SURGERY, PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/20/2018
Last Update Date: 12/25/2025
Certification Date: 12/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1811 RAHLING RD STE 100
LITTLE ROCK AR
72223-4678
US

IV. Provider business mailing address

1811 RAHLING RD STE 100
LITTLE ROCK AR
72223-4678
US

V. Phone/Fax

Practice location:
  • Phone: 501-575-0088
  • Fax: 501-575-0089
Mailing address:
  • Phone: 501-575-0088
  • Fax: 501-575-0089

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License NumberE-9752
License Number StateAR

VIII. Authorized Official

Name: ERIC J WRIGHT
Title or Position: CEO/OWNER
Credential: MD
Phone: 501-575-0088